Laura Bligh

BLI Speech & Language Services, LLC

Credentials: M.A., CCC-SLP, Recognized by Apraxia Kids™ for Advanced Training and Expertise in Childhood Apraxia of Speech
Hours of Operation: Afternoons.
Treatment locations: Home
Address:
Jackson, New Jersey 8527

Overall Treatment Approach:
   I primarily use Dynamic Temporal and Tactile Cueing because I tend to work with kids at the early stages of treatment. I choose targets based on the sound and syllable shape inventory developed from the assessment. New sounds are first practiced in established syllable shapes, and new syllable shapes are practiced with mastered sounds. I incorporate the principles of motor learning into treatment, by moving from blocked, mass practice to more randomized stimuli. My feedback changes as children progress, moving from movement specific to accuracy specific. I am trained in PROMPT, however I have only had a few clients who will tolerate this approach. As clients age and improve, I often move to more traditional phonological approaches if the child no longer demonstrates the 3 key features of CAS.

Percent of CAS cases: 20

Parent Involvement:
   For clients that I see at home, parents are present for the entire session. During natural teaching opportunities, I explain to parents what I'm doing and why. When appropriate, I give them 'directions' about some skills to carryover during specific activities. For clients I see at the public school where I work, I communicate weekly via email to inform them about what we're doing at school and why. I will invite parents to observe sessions so that they can see the strategies their children are using at school and how they can work on these skills at home.

Parent Explanation:
   I explain that CAS is a neurologically based disorder which affects the child's ability to get a word to the mouth. I explain how kids have difficulty putting the sounds together to make a word, and that we need to work on the whole movement, not the sounds in isolation. When appropriate, I bring up AAC, and talk about how it can facilitate speech and language skills while reducing frustration.

Community Involvement:
   I attended the CASANA Intensive Training Apraxia Bootcamp in 2011 and presented a workshop at the 2012 National Convention. I remain connected with other Bootcamp graduates via our Yahoo Group page. I have also attended Fun Runs which raised funds for CASANA programs.

Professional consultation/collaboration: Yes

Min Age Treated: 2

Insurance Accepted: No